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NMK at an osteochondrosis complicated vertebrobaziljarnoj by insufficiency

At the analysis of radiological data at patients with clinical implications vertebrobaziljarnoj failures against an osteochondrosis of cervical department of a backbone of disturbance of venous outflow - venous distsirkuljatsija - are noted at all 14 patients.

At the analysis of results In And primary disturbances of a blood flow in system of the left PAS are noted in 7 (50 %) observations, in system of the right PAS - also at half of patients. Character of disturbances of a cerebral blood flow at patients with an osteochondrosis complicated vertebrobaziljarnoj by insufficiency, is resulted in table 5.

Table 5

Character of disturbances of a cerebral blood flow at patients with an osteochondrosis,

Complicated vertebrobaziljarnoj insufficiency

Character of disturbances of a cerebral circulation Blood flow disturbances on

The left PAS (п=7)

Blood flow disturbances on the right PAS (п=7)
Depression of a venous blood flow on the left venous collectors and the left bulbar vein 3 5
Depression of a venous blood flow on the right venous collectors and the right bulbar vein - 5
Blood flow depression on left SMA 1
Blood flow depression on left ZMA 3

Blood flow depression on right SMA 5
Blood flow depression on right ZMA 5
The hypoperfusion centres in the left hemisphere of a brain 4
The hypoperfusion centres in the right hemisphere of a brain 2
The hypoperfusion centres in both hemispheres of a brain 5
The hypoperfusion centres in a cerebellum tissue 2

Disturbances of a cerebral blood flow on left ZMA accompanied similar disturbances from the left PAS in 3 cases from 7, even in one observation it became perceptible blood flow depressions on an average cerebral artery. In the others 3 cases among NMK prevailed venous distsirkuljatsija. According to OFEKT the hypoperfusion centres in a brain cortex are taped at 4 patients from 7, disturbances of blood supply of a cerebellum has not been noted.

NMK at a pathology of the left PAS (VBN, п=7)

3

? Venous distsirkuljatsija ■ blood flow depression on left SMA

[] blood flow depression on left ZMA? The hypoperfusion centres in the left hemisphere

Fig. 14 Osteochondrosis of cervical department of the backbone, complicated VBN. NMK at a pathology of the left PAS

At blood flow disturbances on the right PAS in two observations of depression of a blood flow on cerebral arteries at VA it is not taped, on OFEKT - the hyperperfusion centres.

Fig.

15 Osteochondrosis of cervical department of the backbone, complicated VBN. NMK at a pathology of the right PAS.

In other cases blood flow depression on right SMA and ZMA is taped, on OFEKT the hypoperfusion centres in cortical frontally-bazalnoyovisochnyh departments and in a cerebellum are found out.

We result clinical observation:

Patient P, 63 years, has arrived in unit of neurosurgery MONIKI with complaints to a headache, memory depression, giddiness, gait disturbance, rising of a BP to 160 and 100 mm hg

An. morbi: considers itself as the patient approximately within two years, disease has begun with headaches, last one and a half year notes proof rising of a BP.

Ap. At іІ ае:Анамнез lives without features, from the transferred diseases are noted by a flu, a genyantritis. The Allergological anamnesis is not burdened.

Status presens: the General condition satisfactory. A constitution correct, integuments and visible mucous pure, usual colouring. Peripheric lymphonoduses are not enlarged.

In lungs breath vesicular, rhonchuses are not present. Pulse rhythmical, 72 blows 1 minute. Cardiac sounds rhythmical, systolic hum on an apex is defined. A BP of 140 and 90 mm hg

Stomach at a palpation soft, painless, the liver and a lien are not enlarged.

Physiological departures without features, kidneys are not palpated, the symptom Pasternatsky is negative from both parties.

Status neurologicus: the Patient in consciousness, is contact, in a place and time is focused correctly.

Pupils D=S, are located on the centre. Movements of eyeballs in full. At research of functions of craniocerebral nerves patoloogii it is not taped. Movements of extremities in full, force of arms is identical. Suhozhilnye reflexes on arms D=S, live. Suhozhilnye reflexes standing D=S, live.

Pathological reflexes do not cause. Koordinantnye assays carries out well.

At a X-ray inspection the osteochondrosis of cervical department of a backbone, arthrosis CIY-CYI is taped. A computer tomography - without a pathology.

On UZDG - vertebrobaziljarnaja insufficiency with blood flow depression mainly on the left PAS.

On OFEKT (rice 16):

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Fig. 16 OFEKT the patient of the Item

Radiological picture of the centres of chronic disturbance of blood supply of the left hemisphere of an ischemic genesis.

The hypoperfusion centres in the left temporal area. The expressed hydrocephaly. The conclusion: the Radiological picture of the centres of chronic disturbance of blood supply of the left hemisphere of an ischemic genesis.

At vertebralnoj angiostsintigrafii (fig. 17) raised accumulation RFP in pool right SMA is taped.

Fig. 17. Vertebralnaja angiostsintigrafija the patient of the Item the Raised accumulation RFP in pool right SMA.

Thus, radiological picture NMK at vertebrobaziljarnoj failures is comparable to that at an osteochondrosis of cervical department of a backbone without clinical signs VBN. Authentically more frequent becomes perceptible lesions of pool of the right PAS.

4.3.

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A source: TSATHLANOVA DIVIDING IVANOVNA. RADIAL DIAGNOSTICS of DISTURBANCES of the CEREBRAL CIRCULATION AT the PATHOLOGY of CERVICAL DEPARTMENT of the BACKBONE. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. Moscow - 2005. 2005

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